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Tumor Discovery                                                       Surgical implantation of malignant cells
























































            Figure 1. PRISMA flowchart showing identification of studies from database.

            ascites tumor cells were needed to cause pulmonary   melanomas using the 30-gauge needle tracts, Glasgow
            metastasis and 300,000 to 500,000  cells were needed in   et al. compared the number of cells found in needle tracts
            the case of peritoneal metastasis. Similar findings were   to the number needed to cause growth of tumors in animal
            published by Southam and Brunshwig , who also found   models and found much fewer cells in the needle tracts .
                                                                                                           [12]
                                           [10]
            that subcutaneous nodules did not resulted following auto-  In 1998, Mighell and High  examined serial sections
                                                                                      [13]
            transplantation with an inoculum of less than one million   of resected cancer specimen of six patients known to
            cells in humans.                                   have undergone fine-needle aspiration of head-and-neck
                                                               tumors. Needle tract was identified in two of six specimens,
            4.3. Implantation during cytology                  and both cases demonstrated tumor cells along the tract.
            Clark et al. first reported implantation of malignant cells of   Smith  investigated the incidence of needle tract seeding
                                                                    [14]
            the prostate at the site of fine needle aspiration in 1953 .   through questionnaires sent to 470 hospitals. He found
                                                        [11]
            This was followed by reports of implantation using Trucut,   an incidence of one in 16,381 biopsies, which compared
            Vim-Silverman, Moonen, Turkel, 14-gauge needle, and   favorably to the results of previous surveys of two in 11,700
            other  unspecified  needles .  In  a  quantitative  study  on   biopsies and two in 66,937 biopsies. Risk of implantation
                                 [12]
            seeding  of  melanoma  cells  in  patients  with  intraocular   during therapeutic and diagnostic procedures on primary

            Volume 2 Issue 3 (2023)                         3                          https://doi.org/10.36922/td.1411
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